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JJ Virgin: The Untold Story of Aging, Weight Gain, HRT, Peptides, Facelifts, and Muscle

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Release Date: 06/06/2026

Quick Hits: Secrets to Anti Aging Skin Care with Amitay Eshel

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. What actually works when it comes to anti-aging skincare, and what is simply expensive marketing in a very attractive bottle? In this quick hits clip Karen sits down with Amitay Eshel, co-founder and CEO of Young Goose. Amitay explains why effective anti-aging skincare is about much more than moisturizing the surface of the skin. Healthy,...

GLP-1s, Skinny Culture, and the Question Every Woman Should Ask Herself with Natalie Jill

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Something happened after my conversation with Natalie Jill on her podcast, Midlife Conversations. Women flooded my inbox and my community, not with questions about dosing or side effects, but with something closer to relief. They finally felt heard. That reaction told me this conversation needed a second chapter, so I'm bringing you the rest of it here, along with some of the raw, honest messages from women in my community who are done being quietly shamed for a choice that has changed their health and their lives. In this episode, Natalie and I go back to where it all started. We talk about...

The Dark Side of GLP-1s No One Is Talking About

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Karen Martel grew up with a front row seat to diet culture most of us only felt secondhand. Her mom didn't just live it, she ran a weight loss center. Butter was called Vaseline. Popcorn was the enemy. And by her teenage years, Karen was deep in an eating disorder that would shape her relationship with food for decades. In this conversation, Karen gets honest about that history, and about something she still checks herself on today. Because here's the twist. We told ourselves we moved past the thin obsession. Body positivity was supposed to be the turning point. But somewhere in the last two...

Quick Hits: Sex, Lies & Liberation: What You Were Never Taught About Female Pleasure with Susan Bratton

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. Have you ever thought about what you truly want in your sexual experiences? Are you curious about the often misunderstood aspects of female anatomy and how they play a critical role in pleasure? This episode with Susan Bratton, who is the “Intimacy Expert to Millions,” promises to unravel these mysteries and more. Can long-term relationships...

Beyond the Pepcid Claritin Trend: Real Solutions for PMDD and Progesterone Sensitivity with Dr. Liz Bartmen

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

In part one, Dr. Liz Bartman and I broke down why PMDD happens: the histamine surges, the GABA receptor glitch, the progesterone metabolite that either calms you down or completely wrecks you depending on your unique biology. If you haven't listened to that one yet, start there, because this episode builds directly on it. Now we get into the part everyone actually wants to know: what do you do about it? We talk about why popular fixes like DAO supplements and strict low histamine diets usually fall short, and what to focus on instead, starting with your gut, your liver, and your nervous...

The Molecule Your Doctor Never Mentioned That Controls Your Libido, Energy, and Heart Health with Cathy Eason

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

You've been told menopause is a hormonal transition. It's also a vascular one, and almost nobody is talking about it. In this episode, Karen sits back down with Cathy Eason, Chief Science Officer at Berkeley Life, for round two on a molecule most women have never heard of but should know by heart: nitric oxide. It is tiny, it is a gas, and it touches nearly every system in your body. When estrogen drops in perimenopause and menopause, nitric oxide production drops right along with it, and that decline may be quietly connected to your fatigue, your brain fog, your blood pressure, your blood...

The Histamine Hack, PMDD, and Progesterone Sensitivity: What's Really Going On

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

If you've been on social media lately, you've probably seen it: women swearing that a combo of Pepcid and Claritin, ordinary histamine blockers, gave them their life back during the worst days of their cycle. It sounds too simple to be real, and honestly, it kind of is. But the reason it's working for some women and doing absolutely nothing for others is the whole story, and it's a story almost nobody is explaining correctly. In this episode, I sit down with one of my all time favorite guests, Dr. Liz Bartman, to go deep into progesterone sensitivity, PMDD, premenstrual dysphoric disorder, and...

Quick Hits: Decoding Fibroids: Unmasking Causes & Effective Solutions

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. This weeks quick hit we are jumping right into a very important topic: uterine fibroids. Maybe you have experience with fibroids, or maybe you do not even really know what they are yet. Either way, this is a conversation every woman should understand. Fibroids are incredibly common. It is estimated that up to 75 to 80 percent of women may...

Pellets, Periods, and Not Giving a Damn: A Midlife Hormone Roundtable with Dr. Amie Hornaman & Elle Russ

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

This is not just a conversation about hormones. It is a conversation about what it means to age as a woman in a culture that is obsessed with youth, terrified of wrinkles, and wildly uncomfortable with female power after 40. In this roundtable episode, I sit down with Dr. Amy Horniman and Elle Russ to talk about the very real physical, emotional, and identity shifts that happen as women move through perimenopause and menopause. We get into everything from early perimenopause symptoms, thyroid issues, SHBG, testosterone, progesterone, estrogen, libido, vaginal dryness, hot flashes, pelvic floor...

Quick Hits: The Testosterone Replacement for Women Conundrum: Libido Highs and Hair Loss Lows with James O'Hara

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. James O'Hara is a family nurse practitioner who utilizes a utilizes an integrative approach to health which combines lifestyle interventions, appropriate supplementation, and medications when indicated to empower patients to feel better and live longer, healthier lives. Today we're speaking with James about testosterone replacement for women plus...

More Episodes

This conversation is not just about menopause symptoms. It is about what it actually feels like to live inside a changing female body in midlife. The grief, the confusion, the vanity, the softness, the strength, the reinvention. All of it. In this episode, I sit down with fitness hall of famer, JJ Virgin for a real conversation about what happens when your body starts changing in ways you did not expect, the things that stop working, and how to hold onto yourself while also becoming someone new.

We talk about the reality of perimenopause and menopause when you are living it, not just teaching it. JJ shares what her own transition looked like, from thyroid changes and hormone shifts to body composition changes and the shrinking margin for error that comes with midlife. We get into why so many women feel blindsided by weight gain, why muscle changes everything, why early hormone support matters, and why the old advice to just eat less and exercise more completely misses the point.

We also go into the emotional side of aging that women do not talk about enough. The pressure to look good. The decision to use Botox, fillers, or surgery. The freedom that can come with getting older. The shift into caring less about pleasing everyone else. And we talk about practical tools too, from strength training to creatine, aminos, GLP-1s, thyroid support, and how to approach midlife in a way that is proactive, honest, and actually helpful. This is a conversation about aging on your terms, with more power, more honesty, and a lot less shame.

In this episode, we cover:

What JJ’s own perimenopause and menopause transition looked like
Why thyroid changes can show up early in perimenopause
Why midlife weight gain is not just about calories
The truth about weight loss resistance in menopause
Why estrogen support matters earlier than most women are told
Why muscle is one of the most important things to focus on in midlife
The bare minimum strength training women need for health and longevity
JJ’s thoughts on Botox, facelifts, and aging on your own terms
The role of GLP-1s in menopause weight gain and metabolic health
Why creatine and amino acids may be game changers for midlife women

Who this episode is for:

This episode is for women in perimenopause and menopause who feel like their body is changing faster than they expected and they are trying to figure out what to do next. It is especially for women dealing with weight gain, muscle loss, low confidence, changing hormones, thyroid issues, or the emotional side of aging and wanting a more honest, more empowering conversation about how to handle this season well.

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